| NPI | 1548626930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANAYSA GREEN CEO 706-373-2908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: GU RN211924) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: GA RN211924) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-14 |